<link rel="stylesheet" href="../core/resource/weui/weui.css?v=12">
<style>
</style>

<div class="fui-header">
		<div class="fui-header-left" onclick="window.history.go(-1);">
            <a class="back"></a>
        </div>
		<div class="title">申请发票</div>
		<div class="fui-header-right"></div>
</div>
<div class="weui_cells weui_cells_form" >
		 
			 <div class="weui_cell weui_vcode">
                <div class="weui_cell_hd"><label class="weui_label">标题</label></div>
                <div class="weui_cell_bd weui_cell_primary">
                    <input class="weui_input" type="text"  placeholder="请输入标题">
                </div>
            </div>
			<div class="weui_cell weui_vcode">
                <div class="weui_cell_hd"><label class="weui_label">发票抬头</label></div>
                <div class="weui_cell_bd weui_cell_primary">
                    <input class="weui_input" type="text" ng-model="pagedata.info.content" placeholder="请输入发票抬头">
                </div>
            </div>			
		<div class="weui_cell">
                <div class="weui_cell_hd"><label for="" class="weui_label">收货地址</label></div>
                <div class="weui_cell_bd weui_cell_primary">
                    <input class="weui_input" ng-model="pagedata.info.address" type="text" value="" placeholder="请输入收货地址">
                </div>
                <div class="weui_cell_ft">
                    <i class="icon jinyunicon icon-ditu"></i>
                </div>
		</div>
		
	


			
</div>
<div class="weui_btn_area" >
		 <a class="weui_btn weui_btn_primary" href="javascript:" id="showTooltips" ng-click="post(pagedata.info,'post')">提交</a>
</div>

</div>
<div ng-include="sys_html('_menu')"></div>

